Individual provider Active NPI

Deborah Lynne Edberg, M.D.

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1194758722
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036095489 Issued in IL
Practice address
4417 W Diversey Ave
Chicago, IL 60639-1923
Phone
(773) 377-7736
Fax
(815) 642-5723
NPI assigned
Jul 8, 2006
Last updated
Mar 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036095489 IL Primary

Addresses

Primary practice location

4417 W Diversey Ave
Chicago, IL 60639-1923

Mailing address

PO Box 746715
Atlanta, GA 30374-6715
Phone (773) 377-7736

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070920000270 IL Practitioner - Family Practice 8527152628 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health Physicians Group PCGroup PAC ID 7517109879, 227 clinicians

Practice addresses (Care Compare)

3433 W Madison St
Chicago, IL 60624-2895
Phone (773) 242-2299

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036095489ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group, PC CurrentSince Oct 14, 2019 Accepting new patients
Esperanza Health Centers Current Accepting new patients
Erie Family Health Center, Inc CurrentSince Sep 22, 2015 Accepting new patients
Osh-Il Physicians Group LLC Family Medicine CurrentSince Oct 14, 2019 Accepting new patients
Esperanza Health Centers CurrentSince Jul 1, 2022 Accepting new patients
Esperanza Health Centers CurrentSince Jul 1, 2022 Accepting new patients
Rush University Medical Group Family Medicine Past Accepting new patients
Esperanza Health Centers Past Accepting new patients

Locations

1701 W Superior St
Chicago, IL 60622
Phone (312) 432-7392

1701 W Superior St
Fl 3
Chicago, IL 60622
Phone (312) 432-7381

2001 S California Ave
Chicago, IL 60608
Phone (773) 484-1201

2001 S California Ave
Ste 100
Chicago, IL 60608
Phone (773) 640-5785

30 W Monroe St
Ste 1200
Chicago, IL 60603
Phone (773) 609-1758

3433 W Madison St
Chicago, IL 60624
Phone (773) 242-2299

4350 S Laporte Ave
Chicago, IL 60638

4700 S California Ave
Chicago, IL 60632
Phone (708) 713-0078

4720 S California Ave
Chicago, IL 60632
Phone (312) 942-2877

4848 W Irving Park Rd
Chicago, IL 60641
Phone (773) 724-6200

Interoperability endpoints

  • Direct secure messaging: deborah.edberg@oakstreethealth.gwaydirect.com
  • FHIR API: https://api.platform.athenahealth.com/11903/brand/1/csg/1/fhir/r4

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1194758722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746715",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746715",
            "telephone_number": "773-377-7736",
            "fax_number": "815-642-5723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4417 W DIVERSEY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606391923",
            "telephone_number": "773-377-7736",
            "fax_number": "815-642-5723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDBERG",
        "first_name": "DEBORAH",
        "middle_name": "LYNNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036095489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.